| NPI | 1386306157 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: MA RN2341677) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: CT 12.010101) |
| Enumeration Date | 2021-10-09 |
| Last Update Date | 2023-06-12 |